New Health and Disease Topics

Anal Cancer: This new topic covers the cause, symptoms, diagnosis, and treatment of anal cancer.

Coping When Your Child Is Near the End of Life: This new topic offers support and suggestions for parents and others whose children are near the end of life. It discusses how to talk to health professionals, the child, and siblings.

Suprapubic Catheter Care: This new topic describes how to care for a suprapubic catheter. It includes information on caring for the catheter, caring for the incision, emptying the drainage bag, replacing the catheter, and when to call the doctor.

New Illustrations

New Medical Test Topics

Prealbumin Blood Test: This new topic explains why the prealbumin blood test is done and what it can show. It tells how to prepare for the test and what is done during the test. It explains how the test feels and what to look for afterward.

Sonohysterogram: This new topic describes the sonohysterogram, what it is used for, and how it differs from ultrasound and hysterosalpingogram. It tells how
to prepare for the test and what is done during the test. And it explains how the
test feels and what to look for afterward.

Enhanced Content

We've revised the following documents so that they are more concise and easier for readers to explore and use. The content is now more streamlined, there is less repetition across the various sections of each document, and we've provided more cues to the reader in the form of improved headings, lists, and well-placed links.

Other Enhancements

Immunizations: Questions Parents Ask: New content has been added on why a vaccination schedule should be followed and why immunizations are needed. More information on safety has been added.

In the 9.5 release, we released a pilot group of Decision Points in which we brought together expert opinion and user input (through user testing) to create a new approach for presenting numerical evidence about risk and benefit. The presentation includes new graphics, summary tables, and text to help meet the needs of different learning styles. We have used this approach to revise three more Decision Points for the 9.7 release:

New NCI Topics

There are new Physician Data
Query (PDQ) topics from the National Cancer Institute. Refer to your product Tech Docs for a complete list of new and updated titles.

New Medication Topics

Medication topics from
Cerner Multum, Inc. are not included in all systems. Added topics may include new information and/or the addition of new drug names.
Refer to the Tech Docs for a complete list of new and updated titles.

New Aisle 7 (CAM) Content

Refer to the Tech Docs for a complete list of new and updated Aisle 7 (CAM) content.

Updated Actionsets

A primary care physician or a specialist in the field reviewed the following topics. We verified all information for medical accuracy and added new medical information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.

Updated Decision Points

A
primary care physician or a specialist in the field reviewed the following
topics. We verified all information for medical accuracy and added new medical
information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.

Stroke: Should I Have Carotid Endarterectomy?: In Get the Facts under "Key points to remember," we now say "If you have less than 70% narrowing, taking medicines may work just as well as surgery to prevent a stroke
or TIA, especially if you haven't already had one." Under "Are other treatments available?" we added about stenting that "Carotid artery stenting is not a good choice for people older than age 70. Studies have shown that for people in this age
group, the risk of stroke or death during the procedure is too high. Carotid endarterectomy is safer for people older
than 70."

Tonsillitis: Should My Child Have a Tonsillectomy?: We changed the recommendation for tonsillectomy from 5 episodes of sore throat in 1 year to 7 episodes in 1 year, based on updated Clinical Practice Guidelines from the American Academy of Otolaryngology—Head and Neck Surgery.

A primary care physician or a specialist in the field reviewed the following topics. No medical revisions were needed.

Updated Health and Disease Topics

A
primary care physician and/or a specialist in the field reviewed the following
topics. We verified all information for medical accuracy and added new medical
information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.

Surgery: We say most surgeons will wait a few days for swelling to go down, then do the surgery as soon as possible, usually within 4 to 6 weeks.

Other Treatment: Under "Experimental treatment," we note that treatments being studied include topical nitric oxide and glyceryl trinitrate, ultrasonic or shock waves, and platelet-rich protein injection.

Uses of Blood Transfusion: We no longer mention hemophilia, because whole blood products are no longer used to treat hemophilia.

Brain Aneurysm: In "How is it treated?" we added more information on embolization. We included information on mesh embolization in addition to coil embolization.

Complex Regional Pain Syndrome: This topic has been updated based on guidelines from the Royal College of Physicians and the Washington State Department of Labor and Industries. The treatment information has been updated to include four areas of treatment for CRPS: pain management, physical rehabilitation, counseling, and patient education and self-management.

Topic Overview: Under "How is it treated?" we now include the possibility of using testicular
sperm extraction (TEST) to collect the sperm of a man who has Klinefelter syndrome and who may want to father children.

Treatment Overview: Under "Emergency treatment" for an ischemic stroke, we added that "in some cases, the clot causing the symptoms is removed with a medical device (rather than dissolved with medicine)."

Carotid Artery Stenting (Other Detail): In Risks, we added that "carotid artery stenting is not a good choice for people older than age 70. Studies have shown that for people in this age
group, the risk of stroke or death during the procedure is too high. Carotid endarterectomy is safer for people older
than 70."

Surgery: We changed the recommendation for tonsillectomy from 5 episodes of sore throat in 1 year to 7 episodes in 1 year, based on updated Clinical Practice Guidelines from the American Academy of Otolaryngology—Head and Neck Surgery.

Tremor: We added a new section on treatment. Some types of tremor, such as essential tremor, can be treated with medicines or surgery.

Updated Medical Test Topics

A
primary care physician or a specialist in the field reviewed the following
topics. We verified all information for medical accuracy and added new medical
information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.

Why It Is Done: We added that a genetic test may be done to help diagnose hypertrophic cardiomyopathy (HCM) or to screen for HCM in close relatives of a person who has the disease. This information is based on recommendations in the Hypertrophic Cardiomyopathy Practice Guidelines.

Home Blood Glucose Test: We updated the information about recommended blood sugar testing for people with diabetes based on ADA 2013 Standards of Medical Care.

Updated Symptom Topics

A
primary care physician or a specialist in the field reviewed the following
topics. We verified all information for medical accuracy and added new medical
information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.

Updated NCI Topics

There are updated Physician Data Query (PDQ) topics from the National Cancer Institute included in this release. Refer to your product Tech Docs for a complete list of new and updated titles.

Updated Medication Topics

Medication topics
from Cerner Multum, Inc. are not included in all
systems. Updates may include new information and/or the addition of new drug
names. Refer to your product Tech Docs for a complete list of new and updated titles.

Topic Replacements

The following searchable topics have been archived, and replacement topics are listed. Many rank-3 frames, which are non-searchable documents, have also been archived, because they contained duplicate information. See your product Tech Docs for a complete list of archived documents.

Acquired Color Vision Problems has been removed. You can find the content in Color Blindness.

This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use.